Glenn M Rubenstein, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME113047 Issued in FL

Practice address

175 E Chester Pike
Ridley Park, PA 19078-2284

Phone

(215) 442-5085

Fax

(877) 329-2370

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gi Alliance Anesthesia of Florida, PLLC

  • Certified Registered Nurse Anesthetist
  • Atlantis, FL
  • NPI 1053030619
  Medicare reassignment NPD
• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • St Petersburg, FL
  • NPI 1942519657
  Medicare reassignment
• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • Safety Harbor, FL
  • NPI 1528630795
  NPD
• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • Boynton Beach, FL
  • NPI 1659943835
  NPD
• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • Port St Lucie, FL
  • NPI 1760054019
  NPD
• Main Line Gastroenterology Associates, PC

  • Gastroenterology Physician
  • Malvern, PA
  • NPI 1467429365
  NPD (past)
• Pinnacle Mid-Atlantic Anesthesia Associates PC

  • Anesthesiology Physician
  • Pottsville, PA
  • NPI 1073789244
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1174512495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650782",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650782",
            "telephone_number": "302-733-0806",
            "fax_number": "302-733-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E CHESTER PIKE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782284",
            "telephone_number": "215-442-5085",
            "fax_number": "877-329-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENSTEIN",
        "first_name": "GLENN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD046020L",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08705300",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME113047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00739628",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0210765",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001270735",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Brillman, DDS, PC
• Jason Dylan Rocha, PA-C
• Rita Ropski, PTA
• Gianna Rossi
• Eric Roth
• Samuel R Ruby, MD
• John Justin Ruffini, M.D.
• Rashmi Sanjay, M.D.
• Robert R Scherr III, D.O.
• Megan E Scott, CRNA

• Anesthesiology Physician in Ridley Park, PA
• Providers in Ridley Park, PA by specialty
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.